Application of Graded Intervention Based on Cross Theoretical Models in Patients with Cerebral Infarction after Thrombolytic Therapy

Abstract

Abstract: Objective To explore the application effect of graded intervention based on cross theoretical models in patients with cerebral infarction after thrombolytic therapy. Methods This study used a prospective randomized controlled analysis and included 96 patients with cerebral infarction who underwent thrombolytic therapy in the Department of Neurology, Juye County People's Hospital, Shandong from January 2021 to December 2022 as the study subjects. They were randomly divided into an intervention group and a control group based on a random number table, with 48 patients in each group. The control group received graded intervention nursing, while the intervention group received graded nursing intervention based on a cross theoretical model. Both groups received 4 weeks of intervention. The neurological impairment function [neurological deficit (NIHSS) score], limb function [Fugl-Meyer exercise scale (FMA) score], self-care ability [self-care ability scale (ESCA) score], activities of daily living ability [Barthel index (BI) score] and nursing risk events were compared between the two groups before and after intervention. Results After 3 months of intervention, the NIHSS score of the two groups significantly decreased, while the FMA score significantly increased. The NIHSS score of the intervention group was lower than that of the control group, while the FMA score was higher than that of the control group (P<0.05). After 3 months of intervention, the scores of self-care ability and BI in both groups increased, and the intervention group was higher than the control group (P<0.05). The incidence of nursing risk events in the intervention group after nursing intervention was significantly lower than that in the control group (P<0.05). Conclusion The graded intervention based on a cross theoretical model has significant effects on the improvement of neurological and limb functions in patients with cerebral infarction after thrombolytic therapy, improving their self-care ability and daily living activities, and reducing the occurrence of risk events in nursing interventions.

Key words: cerebral infarction, thrombolysis, cross theoretical model, graded intervention

CLC Number:

R473.74

YAO Hui-juan. Application of Graded Intervention Based on Cross Theoretical Models in Patients with Cerebral Infarction after Thrombolytic Therapy[J]. ZHONGHUA YANGSHENG BAOJIAN, 2024, 42(1): 154-158.

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